Individual
DR. CLARK STEVEN BURNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6849 N ORACLE RD STE 115, TUCSON, AZ 85704-4242
(520) 485-4544
Mailing address
1134 W SHOAL CREEK LN, TUCSON, AZ 85737-6918
(480) 267-5991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010358
AZ
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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